Author + information
- Received December 13, 1985
- Revision received March 24, 1986
- Accepted April 2, 1986
- Published online September 1, 1986.
- David S. Looyenga, MD*,1,
- Samuel J. Lacina, MD, FACC1,
- Carl J. Gebuhr, MD, FACC1 and
- Fred S. Stockinger, MD1
- ↵*Address for reprints: David S. Looyenga, MD, Medical Education Department, Butterworth Hospital, 100 Michigan, Grand Rapids, Michigan 49503.
A 14 year old white girl who presented with a brain abscess was discovered to have a left pulmonary vascular malformation on a chest roentgenogram. Angiograms revealed a left superior vena cava that drained into a venous malformation within the left lung, then communicated with the left atrium by way of the left superior pulmonary vein. The right superior vena cava was functionally absent and was anatomically an atretic cord. There was mild systemic arterial hemoglobin desatu-ration, but no evidence of cyanosis. The embryology, physiology and surgical repair of this rare lesion and the complication of a postoperative superior vena cava syndrome are discussed.
- Received December 13, 1985.
- Revision received March 24, 1986.
- Accepted April 2, 1986.
- American College of Cardiology Foundation